Top 289 claims representative Jobs in anaheim ca

Revenue Cycle Manager - Healthcare (FQHC Community Clinic)
Hurtt Family Health Clinic —Tustin, CA
- $85,000 a year
- Full-time
- 5 years
- HIPAA
- Finance
- 403(b) matching
- Health savings account
Quick Apply
Member Services Representative (Chinese Speaking)
ASTIVA HEALTH INC —Orange, CA
- $24 - $29 an hour
- Full-time
- Mid-level
- In-person
- 2 years
- Health insurance
- Dental insurance
Quick Apply
Workers Compensation Specialist
Confidential —Orange County, CA
- $25 - $40 an hour
- Full-time
- Background check
- Spanish
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
12d
Member Services Representative (Korean Speaking)
ASTIVA HEALTH INC —Orange, CA
- $24 - $29 an hour
- Full-time
- Bilingual
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Member Service Representative
Champion Health Plan/ Champion Payer Solutions —Long Beach, CA
- From $22 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Service Delivery Representative II
SchoolsFirst FCU —Tustin, CA
- $22.33 - $32.38 an hour
- Part-time
- Research
- Mid-level
- High school diploma or GED
Service Delivery Representative III
SchoolsFirst FCU —Tustin, CA
- $24.56 - $35.62 an hour
- Part-time
- Research
- Mid-level
- Office
Claims Representative (IAP) - Workers Compensation Training Program | Brea, CA
Sedgwick —Brea, CA
- Full-time
- Office
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
8d
Claims Representative (IAP) - Workers Compensation Training Program | Orange, CA
Sedgwick —Orange, CA
- Full-time
- Office
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
12d
Customer Service Rep - Cabinets Wholesale
West USA International Inc —Pomona, CA
- $18 - $20 an hour
- Full-time
- English
- Office
- Residential
- Paid time off
- 401(k) matching
Quick Apply
Insurance Customer Service Representative
SJL Insurance Service, Inc. —Monterey Park, CA
- From $21 an hour
- Email
- Bilingual
- Customer service
- No background check
- Health insurance
- Paid time off
Quick Apply
Customer Experience Manager
Westin Furniture —Ontario, CA
- $70,000 - $85,000 a year
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
2d
Customer Service Representative (Bilingual Mandarin or Cantonese/English)
KCAL Insurance Agency —Hacienda Heights, CA
- From $20 an hour
- 8 hour shift
- Spanish
- Microsoft Outlook
- Customer service
- Profit sharing
- Paid holidays
Quick Apply
Commercial Auto Claims Consultant
CNA Insurance —Brea, CA
- $72,000 - $141,000 a year
- Full-time
- Hybrid work
- 8 years
- Analysis skills
- Experience equivalent to degree accepted
Medicare Hospital Biller
Ethos Management (Servicing AHMC Hospitals) —Alhambra, CA
- $23 - $26 an hour
- 8 hour shift
- Microsoft Excel
- HIPAA
- Office
- Health insurance
- Dental insurance
Quick Apply
Customer Service Rep
Pexco, LLC —Yorba Linda, CA
- $27 - $30 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
9d
Call Center Member Service Representative
United Faith Ministries Inc —Orange, CA
- $25 an hour
- Overtime
- Microsoft Outlook
- Computer literacy
- Research
- Health insurance
- Dental insurance
Quick Apply
Vehicle Claims Administrator - Subrogation
Athens Services —Los Angeles, CA
- $28 - $35 an hour
- Full-time
- Writing skills
- Mid-level
- Administrative experience
- Health insurance
- 401(k)
Quick Apply
6d
Major Case Commercial General Liability Claim Representative
The Travelers Companies, Inc. —Diamond Bar, CA
- $104,000 - $171,700 a year
- Hybrid work
- 5 years
- Residential
- High school diploma or GED
- Wellness program
- Continuing education credits
Patient Account Representative
Insight Global —Torrance, CA
- $25 - $28 an hour
- Contract
- Background check
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d

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Revenue Cycle Manager - Healthcare (FQHC Community Clinic)

Hurtt Family Health Clinic -
Tustin, CA

Quick Apply

Job Details

Full-time
$85,000 a year

Benefits

403(b) matching
Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
403(b)
Life insurance
Retirement plan

Qualifications

Vendor relationship building
Staff supervision
Healthcare staff management
Medicare
Operational risk management
Community health center experience
Healthcare Administration
Compliance management
Medicare regulations
Financial workflow efficiency improvements
Healthcare management
Medicaid regulations
Medical claims submission
Medicaid
Medical billing account reconciliation
Associate's degree

Full Job Description

The Revenue Cycle Manager is responsible for managing the revenue cycle for all Hurtt Family Health Clinic services. The primary duties will include training and supervision of billing staff, oversight of all billing related processes, monthly reporting, and maintenance of the schedule of charges. The position will report to the Chief Operating Officer, while working closely with the Chief Financial Officer and the finance department, as well as all levels of management and provider staff. This is a full time position located on-site in Tustin, CA.

THIS IS AN IN-PERSON ROLE LOCATED IN TUSTIN, CA. ALL INTERVIEWS ARE IN-PERSON AND THE ROLE REQUIRES BEING ON-SITE.

The Hurtt Family Health Clinic is a FQHC community clinic that provides medical, dental, vision, chiropractic, acupuncture, and behavioral health services to underserved patients in Orange County, California.

To officially apply for this position, and review the full job description, including minimum requirements and job duties, please submit an Employment Application at www.hurttclinic.org/employment (Employment Opportunities).

Minimum Qualifications:

Associate’s degree in business administration, Health Care Administration, Finance or Accounting or related field preferred
At least 5 years of experience in medical billing/revenue cycle management, with 2+ years in a supervisory or leadership role.
Experience in a Federally Qualified Health Center (FQHC) or community health setting strongly preferred.
Professional Coder Certification, preferred.
Knowledge of Medicaid, Medicare, commercial insurance billing, and federal grant funding expectations.
Proficient in analyzing revenue cycle metrics and driving process improvements.

Responsibilities:

Develop, implement and oversee effective billing and collections procedures encompassing all service lines (medical, dental, behavioral health, chiropractic, acupuncture, optometry and enhanced care management)
Train and supervise appropriate billing staff to assist with the revenue cycle functions
Ensure the organization maximizes billing by providing ongoing training and support to Patient Services Representatives (PSRs)
Partner with managers and leadership to establish, implement, and refine front office protocols that support efficient revenue cycle operations
Manage the configuration of all electronic billing systems to ensure proper functioning for effective and efficient billing and collection processes.
Maintain fee schedule for each service area.
Develop, implement and oversee procedures to ensure coding accuracy.
Ensure sliding fees are followed and calculated, posted and adjudicated correctly
Establishes and maintains effective working relationships with external vendors, service providers, and internal finance staff to ensure accurate billing, timely claims processing, and efficient financial operations.
Serves as the primary liaison to resolve billing discrepancies, coordinate contract terms, and implement process improvements in partnership with the finance department.
Ensure timely monthly close of the billing function.
Prepare and distribute end of month management reports.
Provide support and training to practitioners to ensure accurate, timely filing of claims
Ensure the timely submission of all claims for payment to third party payers.
Develop, implement and oversee procedures for the review, appeal and resubmission of all claim denials.
Manage the reconciliation of all discrepancies found in billing records in a timely manner, and provide reports to management or outside entities, as appropriate
Develop, implement and oversee procedures for the posting of all third party payments received and the reconciliation of identified differences
Analyze claims data and suggest/implement procedures to maximize HEDIS and incentive revenue collections (i.e., level II HCPCS codes, ICD-10 and CPT modifiers)
Provide oversight and management of billing staff work assignments
Conduct quality assurance and accuracy audits of patient accounts
Compile requested statistical, financial, billing or auditing reports
Responsible for timely refund of account overpayments.
Upholds all HIPAA requirements in a manner consistent with HFHC policies, standards of conduct, state and federal laws and regulations
Reviews contracts to ensure contract fees are entered correctly, and routinely audits receipts to ensure payor compliance with contract terms
Handle routine correspondence and other administrative tasks, as required.
Perform other duties as assigned.

Who We Are:

The Hurtt Family Health Clinic is a Federally Qualified Health Center (FQHC) community clinic that provides medical, dental, vision, chiropractic, and behavioral health services to underserved patients in Orange County, California. We have four clinics located in Tustin, Santa Ana, and Anaheim, as well as a mobile clinic.

We have established an outstanding reputation for quality programs and the highest level of patient care. This reputation has been earned through the dedication and the diligent efforts of our employees, who are key to providing our patients with excellent care.

Application Process:

To be considered for employment at Hurtt, you must submit an application via our Employment Portal. Please carefully review the job description and minimum qualifications before applying for a position. A resume is required in order to complete an application. The employment portal will prompt you to create a user name and password in order to start your account. Once logged in, you can upload your resume to populate most of the required information needed in the application. Please fill in any missing application information, then answer the questionnaire before finalizing and submitting the application. If you have any problems with the online employment portal, please contact [email protected] or call 714-247-4307.

Benefits Offered:

For more information on the complete benefits package, please contact the HR department at [email protected] or call 714-247-4307.

Hurtt Benefits include:

Medical, Dental, and Vision Insurance
Flexible Spending Plans (Medical and Dependent)
Paid Time Off
403(b) Retirement Plan and matching contributions
Employee Assistance Program (EAP)
Life Insurance + Accidental Death & Dismemberment
Short-Term Disability & Long-Term Disability

Benefits eligibility is dependent upon full or part time status. Benefits are subject to change at any time at the discretion of the Hurtt Family Health Clinic.

Job Type: Full-time

Pay: $85,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Retirement plan
Vision insurance

Experience:

FQHC (Federally Qualified Health Center): 2 years (Preferred)
health programs and funding: 2 years (Preferred)
healthcare billing: 2 years (Preferred)
Operational risk management: 2 years (Preferred)
Compliance management: 2 years (Preferred)
Healthcare management: 5 years (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

claims representative jobs in anaheim ca

Revenue Cycle Manager - Healthcare (FQHC Community Clinic)

Member Services Representative (Chinese Speaking)

Workers Compensation Specialist

Member Services Representative (Korean Speaking)

Member Service Representative

Service Delivery Representative II

Service Delivery Representative III

Claims Representative (IAP) - Workers Compensation Training Program | Brea, CA

Claims Representative (IAP) - Workers Compensation Training Program | Orange, CA

Customer Service Rep - Cabinets Wholesale

Insurance Customer Service Representative

Customer Experience Manager

Customer Service Representative (Bilingual Mandarin or Cantonese/English)

Commercial Auto Claims Consultant

Medicare Hospital Biller

Customer Service Rep

Call Center Member Service Representative

Vehicle Claims Administrator - Subrogation

Major Case Commercial General Liability Claim Representative

Patient Account Representative

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